Individual
KEVIN L BRUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS PHARMACIST
Contact information
Practice address
7321 BALMER ST, BLDG 570, HILL AIR FORCE BASE, UT 84056
(801) 777-0419
(801) 586-9890
Mailing address
7321 BALMER ST, BLDG 570, HILL AIR FORCE BASE, UT 84056-5012
(801) 777-0419
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
142365-1701
UT
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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